Provider Demographics
NPI:1740798347
Name:ANOINTEDSAINTS HOME CARE LLC
Entity Type:Organization
Organization Name:ANOINTEDSAINTS HOME CARE LLC
Other - Org Name:ANOINTEDSAINTS HOME CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHAKIRAH
Authorized Official - Middle Name:ARAMIDE
Authorized Official - Last Name:RAJI
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:317-850-5999
Mailing Address - Street 1:2368 MEADOW CRK
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:IN
Mailing Address - Zip Code:46123-6886
Mailing Address - Country:US
Mailing Address - Phone:317-850-5999
Mailing Address - Fax:
Practice Address - Street 1:1385 DANIELLE DR
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46231-1614
Practice Address - Country:US
Practice Address - Phone:317-850-5999
Practice Address - Fax:317-850-5999
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-17
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN17-014296-1253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN17-014296-1OtherPERSONAL SERVICES AGENCY LICENSE